title: Pseudoatrial flutter: artifact simulating atrial flutter caused by a transcutaneous electrical nerve stimulator (TENS).
abstract: A patient with previous actual atrial flutter had what appeared to be atrial flutter seen on Holter monitoring during treatment with a transcutaneous electrical nerve stimulation (TENS) unit. This proved to be artifact caused by the unit rather than a true arrhythmia. The artifact was reproduced in a normal volunteer by application of a TENS unit.
authors.affiliation: Department of Medicine, New York University Medical Center, New York 10016, USA.
authors.forename: S H
authors.initials: SH
authors.lastname: Weitz
authors.forename: P A
authors.initials: PA
authors.lastname: Tunick
authors.forename: L
authors.initials: L
authors.lastname: McElhinney
authors.forename: T
authors.initials: T
authors.lastname: Mitchell
authors.forename: I
authors.initials: I
authors.lastname: Kronzon
mesh_terms: D000328:Adult; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000601:surgery; D016477:Artifacts; D001282:Atrial Flutter / Q000209:etiology*; D003937:Diagnosis, Differential; D004535:Ehlers-Danlos Syndrome / Q000150:complications; D015716:Electrocardiography, Ambulatory; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D004561:Transcutaneous Electric Nerve Stimulation / Q000009:adverse effects*